| NPI | 1407249055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY FAYNE Director Of Operations 800-381-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005994) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |